HomeMy WebLinkAbout92-2530
BUILDING PERMIT
Permit
25308;
7-;q- 9 ;L
CITY OF ZEPHYRHILLS
(813) 788-6611
N~
DatH
Ctu:OIN9 E~ PLU~ME~
Pmp"tv Ow,", ;{t~~; fill
Job Address: r t) (;, ' ,{ r
Parcel I. D. # '- . -~, - - 0 ,_. 0 0 0 ... 0 'Y..3 0
Zoning: Energy Code: Radon Gas: 7/-5-7
Description of Work ~. +- ~
r
Sewer Conn
Water Conn:
Water Meter:
T,I.F.'s:
NO OCCUPANCY BEFORE C.O.
FINALct/I# - 'L
C.O.
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
DATE
Inspector
Permit Fee
Signature
Company
Address
Telephone#
~~~ ~ //S-?
~y
Valuation or
Contract Price
~07J. t:nJ
City License Registration # / h 0
State Certified License#
a~ ()~
~'L~0
Ftr,
Pre SLB
Lintel
'-&EcTRICAL
-----,.
P~
ME~
Tp, Serv,
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Final
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
Final
FRM,
Insul. CL
WL
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.001 shall be made for each trip for each trade:
a, Wrong Address
b. Condemned work resulting from faulty construction.
c, Repairs or corrections not made when inspection called,
d. Work not ready for inspection when called,
e, Permit not posted on job site,
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION vuu PEHNIT
CITY OP ZEPIlYHlIILLS
lHJILDING iH~l'I\HnIENT
ilc~ /lAIII/1.
ADDRESS _ ?fS''1s- /J,41-/'1 ~RIJ tiE
UHNER II ~R m I #oPJiZS
#
JOB LOCATION LtJr:-Lfl (;./01:, RJ {)(};.,E tUA-y' L)R r
APPLICANT
.f)~,
PHONE
7?~-d~/t.
1.01' SlZE6~ X/t)O AREA SQ.FT, 7S-?
U:G1Q, DESf.RIPTlON: LOT(S)
BLOCK
SUBDIVISION
l'AHCEL l,D.lt J-02b -.2/- tJ/.?O -~O~-O'e~
HUHK PHOPOSEP:_New Construction
_Addition
_Alteration _Repair
/
_Inslall
_Sign/Temp.
PIWPOSEll llSE: ~ngle family
_Sign
_Hove
_Demolish
_H/F
_I~ at Units
_H/II
_Commercial
_Indu6 t.
_Swim. Pool
o t he l'
_Restaurant & lIealth Department Approval
. \lUlI.DING SIZE;
,,---, PATfIJ~r/A--fl:-p/)R.1 SqU(H'e Feet,
? "ro 9"
lit.: i EIIl
IU:SIDENTlAL: ATTACII (2) Pl.OT PLANS & (2) SETS OF IHJ1UHNG 1'l.AMS & (1) SET ENEHGY FOHHS."
COtlNt::kGIAL: ATTAGII 0) SETS OP UUILDING l'I..ANS & (1) St::'l' ENt::HGY FOIUlS......
.~COPY Of CONTRACT REQUIRED.
PERMITS REQUE51Ell
../'
_BlH WING
$
J>tJtJ . ~ 0
Valuation at Total Construction
ELECTRICAL
AHP Service
Florida Power Corp.
,_H.R.E,C,
_~tECIIANICAL
$
Valuation at Mechanical Installation
_PWmnNG
GAS
ROOFING
SPECIALTY
-'
TYI't:: Of CONSTRUCTION: _Block
____Frame ____Steel
ALt1 /It .
Other'
1'1 N I SilEO flOOR ELEVATTONS: FT.
, ,
.........,................................
,\lUILUfR
"/"h.~'-tAW1 . CON'fRACT{lli SE~rliUi
17~"'" compuny,l)GE J1f)J...t.( rv) . .
/7/1/ .A- L -.:.- StaFe Cert. or Regist. II c;..eCO",?'I6,f>cJ
~ City License Registration It //-D
.......~.*.............~.........~...*~...
Signature
liLt.::GIRI.ClJ\N
Company
State Cert. or Regist. II
City License ReBistr~tion It
...~......"........,.*.......,..**...~.~.
S lUlliltu r e
l'LUtlllFR
Company
State Cert. 0' Regist. II
City License Registration I.
.......*.*.*......***,...,......*..~~...,.
~~~nature
W:.CUAtUCAI.
Company
Slale CcrL. or Regi~t. n
Cl ty License HeBistnltioll II
.........,................................
Slglluture
OTllER
Company
State Cert. or Regist. II
City License Registration II
S i gria ture
.....,....................................
APPLICATION APPROVED BY
PERNl'l' OFFICEH,
pc _ '.'___,
:,'~tdriA.); Ii
'~.3 tI
'"
CONn 1 T IONS Of PEItI'..
,j- t- 11HW 1 'I
A. NOTICE ,OF DEED RESTRICTIONS
lhe undenigned IInden\indi \bit thl. penH uy b, iubiect to 'deed rulricHllr..' lIhlcb uy be allre re5trlclivIl U..n [Ity
regulilior.5. lhe undf:uigne~ iUUIe5 ruponiibilHy lor ((,.pHinu Nith iny ippllut,le 4~e4 .Hhidillni.
8. tJNLICENSED CONTRACTORS AND CONTRACTOR RESpON~I~ILITIES
If lh. IIwner hi5 h~red i [lIntrictor or contri~\orl ,. under\ik. Nork.. they liY b. required '" be licen5ed in i[cordince Nith
5,.ht illd lo[il requhtillll!;. If lhe con\ru\or h no' l\unud .. requill;d by "N, both 'hi ONner in4 c"nhu'"r liY be
tiled for i a\ideaunllr vioh'lon under ihle h... If ,hlllllner'lIr Intended un\ruhr ire ulI"~r\iill .. \II ..tlil li(ell~In9
requirelenlS aiy ipply fllr the IlItended 1I0rk, 'hey irl idv~sed III [lIn'.c' 'hi City of 2ephyrhills Bulldin9 Depirlaer.t, 18111
?ilIH~II.
Furtherlore, If lhe lINner h., hired i [lIolrictor or [00triclllr5, he Is idvl.ed '" hivI the clIlllr;clllrlsl 51g11 porlillni III ttle
'Con'r.c'or Secllons' of this ipplici'ion fllr Nhl[b 'hey 11111 be .esp"ns\ble. If Y"U, ii 'he IIl1ner 51gn is 'he CIIII'ricLIII,
Y"U ire ind~cit~ng lh., y"U, rither lhin 'he [lInlriC'or, ire respllnsible fllr the lI!1rk. If 'he (1II1tr;[\lIr 1I~5hes Y"u 111 ~19"
i. c"ntric'"r 'hi' liY be in indici\illn 'hi' he il 110' prllperly licell5ed illd is 1111' en'\'led '" perli"ing privlleqes in ILe
CI'y IIf Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTlON FEES
D. CONSTRUCTION LIEN LAW (CHAP!ER 713, FLORIDA STATUTES, AS AMENDED)
I cerlify \hi' I, 'he ipplicill', hive been provided lIi'h.. copy of 'Flor'~.'. Clln,'rutll~n L~en L.M - ""le~.ner'5 PI~'~C'~~II
Guide' pr.p.red by 'h. flDrldi Depirtlen' of Agri[ul'ur. and [onIUI.r Aff.irl, If 'h. .pplitin' 1. soa.~n. 1I\~.r Ihin I~v
'lIwner', I certIfy '~i' I hive lIt\ilned a c~py of \h. .bllvt dt,crlbed 411CUlent ihd pr~II,. In gll04 '~itb to dvliver II I~ II,~
'IINner' prior to COlaenceaen'.
E. CONTRACTOR'S/OWNER'S AFFlDAVIT
I ter'ify thai ill lhe infllr.al~lIn in lhi5 .ppl't.'I~n i5 accuril. and thai ill IIl1rk 1I~lt be dDlle in clllpliance lIilh .11
appl~(ible lillS regulil~nq cDnstruclion, zoni09, and land developaenl.
Applicallon ~I hereby lade 'II IIbliin . per.~l '0 do 1I0rk ind inslill.'lon a. indic.ted. I tertilt Itl.1 nil M~rk III
inslalhliCln hn cOllenced pr.illr 10 issuance of . penll iIld lhit illlMk IIHI bll per'lIraed tll lIet s\;r.dirds DI .11 I.w~
reguliting tonstru~tIDn, City clI~e., lllning regula'ions, and lind develllplen' regul.'illns in It.e iUlisdic\illn. I .I~~
cer'i'y th.t:1 underst.nd lh.t 'he regul.\i~n. of other gDvernlentil iglllcie5 liY apply to 'he in'tnded Nllrk, ind t~4t il I~
IY responsibill'y to Iden'ify IIhi' icUons I IU,' tiki h bll in ClllpUillt'. Such .gf:r"~u include till .1 e lillt 111~t~d I~I
I DePirtlent of Environ.ent.1 ReQulatio~ - Cypre.. layhe.d" Wetland Areis ind Envlr~nlenlilly Sfnsiti~e 1'lidS,
Wit.r/W.i'elli'" lrei'len'
I SCluthllu' Flllridi Water lIilliqllen' Dh'rlU - \lelh, Cypuss Biyllead" Wetluld AUi., Alhrir,g llihrtllllrSf:!i
, Bray C~rp, of EnQlneer, - Stillill., Ollckl, H.vlgibll W.terN~YI
I ~e~~r'lenl of Heillh L Rthabllit~tlve Servlc,s, fnvlronlen,.l "e.llh Ulli\ - Weill, Wi.lewa'er lleil,enl. Seplic links
, ~!i Envirr."afn\il PnIH\ir.n I\qtncy - I\ibe.'u ibiteunl
I ilso cer'lfy thi', if fill littriil Is \11 b. used In flll04 ZlIne 'A' or 'A,elt.', it Is under.llllld 'I.i' i dlainaqt pliO
iddrelling i 'cDapinli'ing VlIluae' 11111 be lubllt'ed IIhlch II prepared by i profe..I~nil engln~er reqi'l~i~d' In Ihe Slile ~l
floridi priof '0 perli' i.suinte. I
,I
.
,
A perlit issued Ih.l' be construed '0 b. a Ilcen.8 '0 proceed lIilh 'hi ~lIrk ind nil' .. .u'hllrilr III vill'~le, cinctl ~llll I ~I
set iside .ny provi.i~n. ~f '~e 'echnlci' codes, nor .h.ll I.SUince of . peril' prevent lhe Building Ullici.l fl~1 tL~re~ltll
requirin9 a correc\illn of elHri in plins, tooshl/cUlln, IIr v~lIl.lillns (If iny t~d~. Every perlit issul!~ ~1,,1I becHe ill'lal id
unless 'he Nork iuthllrized by such penH 11 [ollenced NBhin ,~x lonths 01 is.uinu, ~r if 11111 k .Utl,ul Ized by the ~ellll I;
suspended ~r iLindoned fllf a peri~4 of six lonlhi .f'er lhe tile 'he Nllrk ii c~llenced. One 90 dit ~~I~n~loli of li&e, &41 L~
illlllled for thepenit lIi\h 'ee chuge lIf $1:1.00. lh, uhnslllll ih.ll be requested in IIrUing tD H'I! Buildiuq Offici.1. ('10
.pproved inspec\i~n lust be I~qged during eich six I~n'h period, or the projllc' N~11 be cllnsidered ~bal~II"td.
WARNING TO OWNER a YOUR FAILURE TO RECORD A NOTICE OF COMMEHCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUH PRORERIY. IF YUll
. INTEND TO OBTAiN'FINANCING SULT WITH YOUR LENDER OR AN Al'I'ORNEY
BEFORE RECORD y OF MMENCEMENT. JOBS UNDER $2,500 IN VALliE
DO NOT NEE 0 OST A 't;OT ICE OF COMMENCEMENT".
--- ---ii~NER-iiR-iiGENTr.:zz;-4<'h/~16NATURE___~~di?J-~.
,DATE____:!~~~jf~---~------~--------------- DATE_______~:~~~jf~_________________
NOTARY AS TO ~ ~\.)1
OWNER OR AGENT_ ___ ~~ ~,~~~---
j. 4TI/~E/J "$- !3Kt7W ;.J
MY COMMISSION EXPIRES_
NOTARY AS TO ~~ _// . /
CONTRACTOR___,..__~fL.k?R'><--
j::,prHt..ec..lU J ~~owAl
Y COMMISSION
ICATHLUN J. BROWN
..... of FIorlda
1.
SITE PLAN
(RESIDENTIAL USE ONLY)
PARCEL 1. D.
..3
SEC
;tic.
TWP
-~(-
RN~;
PROPERTY MEASUHEMENT
b~.fi lD6_
;-J~R /1/ H~M6- s
I
tJl:1O
SUBD
~
LOT
IltJt.1tJ tJ
BLOCK
CURRENT OWNERS
DATE
7S-7~
7-;Js^ 9~
All drawings aLa11 be drawn to ncahl fen' all parcels or l~ts five acres or less.
< (,t;' >
1.
).~
J
~"f'
, ~ntJ&
]7 ? )('~ r^t-
V I.4D
<
r7'
>
~PfI1D
s~~
~i
;)S'
1
\
t.
~o I
tJ tfl (- 13'
/\ 1/~.
7~O
J; /I'
'/~
1001
) .
A) &- '(tf $
, ~)lIS1~ tY f1'~
I' 0 .u c.-eC J) ~
v fD C))
LtJr. ~ tltJ~ ~JDGrEwl7'r DR...,
SHOW ALL EXI'JTING AND PROPOS'.ill STRUCTURES GIVING DIMENSIONS AND SETBACKS. ALSO, INDICATE
M"i. BODIES 0',' WATER AND ROlWn,',yS (INCLUDING NAMES) ADJACENT TO THE, PROPERTY. INDICATE
THE SIZE, YEAR, AND NAME OF MOBILE; SUCH AS 121 x 601, 1981. FLEETWOOD.
HOUSE CONSTRUCTION
S"ALl: 1.....0'
PROPOSED ADDITION
't...LE.: .-. .01
III
::a:
..
z
~ f- 7.~'
~ I
i
1-
roor 160't.)
,. r-, - 10'
20' I 10'
-,12,0' add.
-
::
~! 0
t1c..u. . 7~' 2
-
Ii .
..,
;;
20'
I
20'
ROAD, NAME
L-
ROAD NAME
s i tenla!\: C":
MOBILE HOME SETUP
"ALl: ,... fO'
00' 40'
20'
- - -
0 0 0
'"
7,0' 2 '" 20' (.o1,lInO '"
- '"
- Shod
. .. .
.., .., "
. .. .
00'
P/L
ROAD NAME